Note15 Apr 2023
Management demonstrated a good understanding of their duty of candour responsibilities.
Note15 Apr 2023
The registered manager held staff meetings to discuss issues and used phone applications to allow staff to send alerts if needed.
Note15 Apr 2023
The registered manager had improved notifications of safeguarding incidents since the last inspection, now raising these in line with regulations.
Note15 Apr 2023
Staff had received training in infection prevention and control and PPE was available for use during care visits.
Note15 Apr 2023
Safeguarding concerns had been raised appropriately with the local authority and the registered manager worked with them to investigate concerns.
minorcommunication_with_families15 Apr 2023
People told us they did not know which carer would be coming to provide care as they were not given any rota or timings for care calls.
moderateperson_centred_care15 Apr 2023
Care had not been planned in a person-centred way, with people being given 2-hour call windows of when they may receive care.
moderatestaff_competency15 Apr 2023
Staff training had not always been consistently completed or their competency checked.
moderatestaff_training15 Apr 2023
One member of staff told us they had not received practical moving and handling training until a few months after they commenced work.
moderatesupervision_appraisal15 Apr 2023
We found limited evidence of staff supervision, or spot checks being completed consistently, and staff did not have an induction to the service recorded.
criticalgovernance15 Apr 2023
There had not been robust governance systems in place at the service over the previous 12 months.
moderatemissed_or_late_visits15 Apr 2023
The time between calls can be over 14 hours especially if there has been an early evening call then a late morning call, the next day.
moderatemissed_or_late_visits15 Apr 2023
Sometimes staff are late which means my medicines can be late, there may only be an hour gap between the morning and lunch call because the morning call is so late.
criticalrecord_keeping15 Apr 2023
Care documentation did not contain all the details staff needed to support people safely. This placed people at risk of receiving unsafe care and support.
moderatemedication_management15 Apr 2023
Audits of medication records lacked detail of any actions taken for example to explain gaps in recording, excessive use of PRN or if time specific medicines were administered.
criticalmedication_management15 Apr 2023
Where people were being supported by staff to receive their medicines there was not always a medicine administration chart (MAR) and accompanying risk assessment in place.
criticalcare_planning15 Apr 2023
Health needs people may need support with, such as diabetes had no supporting documentation, care plans or risk assessments for staff to follow.
Note27 Jul 2022
Positive partnership working with health and social care professionals.
Note27 Jul 2022
Staff felt valued, supported and able to contact management 24/7.